Perioperative psychological distress in patients with intracranial tumors; a single center study

  • 0Department of Neurosurgery, University Hospital Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.

|

|

Summary

This summary is machine-generated.

Neuro-oncology patients experience high distress, particularly those with motor deficits or poor post-operative outcomes. Distress levels remained largely unchanged peri-operatively, highlighting a significant need for psychological support.

Area Of Science

  • Neuro-oncology
  • Psychological distress assessment
  • Neurosurgery outcomes

Background

  • The Distress Thermometer (DT) is used to measure distress in neuro-oncology patients.
  • DT values above 4 indicate significant distress requiring intervention.
  • Peri-operative distress data in this population is limited.

Purpose Of The Study

  • To evaluate peri-operative distress levels in neurosurgical patients with intracranial tumors.
  • To identify factors associated with high distress in this cohort.

Main Methods

  • Retrospective study of 254 neurosurgical inpatients between October 2015 and December 2019.
  • Distress assessed using the DT pre- or post-surgery.
  • Comparative analysis using the Wilcoxon rank-sum test.

Main Results

  • Mean DT was 5.4 ± 2.4; 44.5% of patients had DT ≥ 6.
  • Motor deficits and poor post-operative neurological performance correlated with high distress (DT > 6).
  • Distress significantly decreased in males post-surgery but remained high overall; no other significant peri-operative changes observed.

Conclusions

  • High distress levels in neuro-oncology patients indicate a substantial need for psychological support.
  • Motor deficits and poor neurological outcomes are key indicators of severe distress.
  • Peri-operative distress showed minimal variation, underscoring the need for continuous support.